Tennis Elbow

[*:]$un$hine[:*%]

I would recommend use of ice on a regular basis.  Rest as much as possible.Massage techniques:Stripping to the flexors and extensors (with and without active muscle engagement)Cross fiber to attachmentsWork all muscles of the upper arm and shoulder girdle as well.

 

[Angeltress]

Tennis Elbow

In addition, I would suggest ROM and body mobilization techniques as a preventative measure for the future. And, my personal favorite, make sure the person is drinking enough water.

 

[Antonia]

Tennis Elbow

i agree, ice packs and Supinator muscle has lots of tightness, ROM aswell

 

[Doctor Doom]

[quote author=Masthera link=board=IandI;num=1116954747;start=0#1 date=05/24/05 at 10:29:39]I would recommend use of ice on a regular basis.  Rest as much as possible.Massage techniques:Stripping to the flexors and extensors (with and without active muscle engagement)Cross fiber to attachmentsWork all muscles of the upper arm and shoulder girdle as well.[/quote]Good points Masthera. I attended a Hot Stone Massage course on Sunday and Monday and the instructor stripped the forearm quite firmly with the flat (top) of her fist. This was followed, of course, by ice cold stone and hot stone massage... one in each hand to both the flexors and extensors. Finally she left the cold stone "parked" at the spot where the tendonitis was while she continued to massage the rest of the body. She recommends cold stones for MTs and anybody with CTS/RSI and other injuries.  You know with 30 MTs in the room there were lots of people needing forearm work. LOLOf course biofreeze, sombra and other anti-inflammatory products can be lifesavers too after the work has been done.

 

[Tearany]

Heat first, then crossfibre the tendons with ice cubes, then have client take elbow and wrist through all motions possible.  And Of course work upper arm and shoulder beforehand.  They can do the ice massage and ROM themselves every 3 days.  Rest it!

 

[madiesmum]

Tennis Elbow

After thorough arm work (similar to what all have suggested above), I like to do a compression & lever move. Client supine. Arm/hand extended straight up to the ceiling. Press your thumb & forefinger on the lateral & medial tender points proximal of the elbow joint's bony landmarks. (this smarts even if you do it on yourself, so you'll know exactly where to work). While applying sustained pressure, slowly lever the forearm, articulating the elbow. Make friends with them again immediately afterwards... ha haI also love to strip the triceps from shoulder to elbow, as if I were moving along the groove of the gastrocs, while the client is prone - arm dangling off the side of table.You could also recommend they try wearing a compression strap to support the injury while they recover. Sell them some Sombra to use at home.Jill/Sagetherapist

 

[Pompal 09.]

One other thing that may help, is to place your thumb deep into the region of the extensors where they come together just before the elbow (the thicker muscle region), have the clients hand (same extremity that you are working on) in an extended position when you do this. Then, while you keep pressure on this muscular area, move the clients hand into a flexed postion.  This really has a great effect on the extensors.

 

[RBS]

Tennis Elbow

Also check with a therapist comfortable with mobilizations, or a chiro. Tennis elbow is also caused by poor alignment of the radius/humerus/ulna. An realigning the area will aid in proper functioning of the soft tissue.Jay